Organization
FENIX PHYSICAL THERAPY AND PERFORMANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUSTIN FAIR (OWNER)
(480) 788-0399
Entity
Organization
Contact information
Practice address
4365 E PECOS RD STE 136, GILBERT, AZ 85295-8053
(480) 788-0399
Mailing address
10430 E GERMANN RD, MESA, AZ 85212-9345
(480) 788-0399
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10935
AZ
Other
Enumeration date
10/04/2017
Last updated
01/22/2018
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